Medical and surgical reports . o the lighter lung area above; the fluid remains near thediaphragm and changes its position comparatively little there-fore. On June 17, Dr. Buckingham withdrew thirty-nine ouncesof fluid from his chest; on June 29, forty-five ounces; on Augusts,sixty-four ounces. He was discharged from the hospital September25, 1897, impi-oved. lie had gained fifteen pounds. Case IT.—The second case of pneumohydrothorax was a i)atientof Dr. II. W. Gushing — A. ]5., a boy fourteen years old, who wasinjured in the chest. He entered the hospital in a slate of collapse. 192 OBSEEVAT
Medical and surgical reports . o the lighter lung area above; the fluid remains near thediaphragm and changes its position comparatively little there-fore. On June 17, Dr. Buckingham withdrew thirty-nine ouncesof fluid from his chest; on June 29, forty-five ounces; on Augusts,sixty-four ounces. He was discharged from the hospital September25, 1897, impi-oved. lie had gained fifteen pounds. Case IT.—The second case of pneumohydrothorax was a i)atientof Dr. II. W. Gushing — A. ]5., a boy fourteen years old, who wasinjured in the chest. He entered the hospital in a slate of collapse. 192 OBSEEVATIONS ON PNETJMOHYDEOTHOEAX. X-ray examination two days after entrance, showed when thepatient was in a sitting position, signs similar to those shown in thediagram (Fig. 1), but a little more of the heart could he seen on theleft side, and a movement of the diaphragm of about half an inchcould be followed indistinctly through the fluid, and above the nippleon the left side the chest was darker, due, probably, to the shadow. Fig I . Pneumohydrothorax. Left side. This diagram was made from a patient not described in this paper,but the appearances in C. P. W. were similar to it, except that theright apex was darker because of a tubercular deposit. In A. B. the appearances were similar to those in the diagram, ex-cept that the outline of the diaphragm on the left side could be faintlyseen through the fluid, and the upper part of the left side of the thoraxwas darker than shown here. OBSERVATIONS ON PNEUMOHYDROTHORAX. 193 cast by the collapsed left lung; on the right side, although the lungarea was somewhat darker than normal, the movement of thediphragm of one and a quarter inches could be readily followed; theright border of the heart was seen distinctly nearly in the rightnipple line. PNEUMOTHORAX. Case III. — This patient entered the service of Dr. Sears August30,1896—D. C, twenty-eight years old. Alcoholic. On August 29,6 , he felt a sudden pain in the left side, no
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